Beruflich Dokumente
Kultur Dokumente
Company:
Employee Name:
Employee ID:
Claim ID #:
Report print date:
Date Submitted:
Reimbursement Currency:
( AMBIKAPURBIJURIADANIBSP )
No of items
sub-total
0.00
20,154.94
20,154.94
0
28
28
0
0
0
Total
20,154.94
28
Cash:
-Billable
(0 %)
-Non-Billable (100 %)
ADVANCES:
- Received
- Set-off per this claim
- Balance outstanding
- Balance returned
Final advance balance
0.00
0.00
0.00
0.00
0.00
0.00
EMPLOYEE:
Signature:
Date submitted:
APPROVER:
VERIFIER:
Signature:
NOTES:
NA
Date:
NA
Signature:
NA
[ Version 0 (Draft) ]
Page 1 of 7
Date:
Actual receipts
Expense Report:
Employee Name:
Sambeet Nayak
Employee ID:
TWS006
02/03/2015
CASH EXPENSES:
NON-BILLABLE
Customer:
TWS
TWS
TWS
TWS
TWS
Page 2 of 7
Project:
None
Notes:
Details:
From date:
Expense Date:
09/02/2015
v-06
Category:
Lodging-TWD-City - Other
Currency:
INR 650.00
Conv. Rate:
09/02/2015
To date:
09/02/2015
Location:
ambikapur
None
Notes:
Details:
From(Destination):
Class:
09/02/2015
station
g
To(Returning from):
None
Notes:
Details:
From(Destination):
Class:
09/02/2015
lodge
g
To(Returning from):
Airline:
None
Notes:
Details:
From(Destination):
Class:
09/02/2015
v-01
354-2400
INR 130.00
ambikapur
g
To(Returning from):
surajpur
Airline:
None
Notes:
Details:
From(Destination):
Class:
09/02/2015
stand
g
To(Returning from):
INR 60.00
lodge
Airline:
[ Version 0 (Draft) ]
AMBIKAPURBIJURIADANIBSP
1.000
60.00
1.000
190.00
1.000
130.00
1.000
50.00
auto bus
Bus
INR 50.00
Airline:
Amount:
650.00
auto
INR 190.00
lodge
1.000
auto
Expense Report:
Employee Name:
Sambeet Nayak
Employee ID:
TWS006
02/03/2015
CASH EXPENSES:
TWS
TWS
TWS
TWS
TWS
Page 3 of 7
None
Notes:
Details:
From(Destination):
Class:
10/02/2015
INR 230.00
lodge
g
To(Returning from):
None
Notes:
Details:
From(Destination):
Class:
11/02/2015
lodge
g
To(Returning from):
None
Notes:
Details:
From date:
12/02/2015
Lodging-TWD-City - Other
354-2422
v-07, for 03 no. days hotel bill claimed i.e.from 9.2.15 to 12.2.15 bill attached.
INR 2,100.00
09/02/2015
To date:
Location:
None
Notes:
Details:
From(Destination):
Class:
12/02/2015
lodge
g
To(Returning from):
None
Notes:
Details:
From(Destination):
Class:
12/02/2015
lodge
g
To(Returning from):
Airline:
12/02/2015
Airline:
Airline:
[ Version 0 (Draft) ]
AMBIKAPURBIJURIADANIBSP
Airline:
210.00
1.000
2,100.00
1.000
230.00
1.000
45.00
surajpur
auto traveller
INR 45.00
stand
1.000
auto bus
INR 230.00
230.00
auto traveller
INR 210.00
1.000
auto
Expense Report:
Employee Name:
Sambeet Nayak
Employee ID:
TWS006
02/03/2015
CASH EXPENSES:
TWS
TWS
TWS
TWS
TWS
Page 4 of 7
None
Notes:
Details:
From(Destination):
Class:
12/02/2015
v-02
354-2406
INR 340.00
surajpur
g
To(Returning from):
manendragarh
Airline:
None
Notes:
Details:
From(Destination):
Class:
12/02/2015
stand
g
To(Returning from):
None
Notes:
Details:
From date:
15/02/2015
Lodging-TWD-City - Other
354-2423
v-08, for 03 no. days hotel bill claimed i.e. from 12.2.15 to 15.2.15.
INR 2,040.00
12/02/2015
Location:
None
Notes:
Details:
From(Destination):
Class:
15/02/2015
Travelling Expenses TWD
for 03 no. days auto fare claimed.i.e.13.2.15, 14.2.15, 15.2.15.
lodge
g
To(Returning from):
None
Notes:
Details:
From(Destination):
Class:
15/02/2015
lodge
g
To(Returning from):
To date:
15/02/2015
Airline:
Airline:
[ Version 0 (Draft) ]
AMBIKAPURBIJURIADANIBSP
Airline:
50.00
1.000
2,040.00
1.000
670.00
1.000
50.00
manendragarh
auto traveller
INR 50.00
bus stand
1.000
auto
INR 670.00
340.00
Bus
INR 50.00
lodge
1.000
auto
Expense Report:
Employee Name:
Sambeet Nayak
Employee ID:
TWS006
02/03/2015
CASH EXPENSES:
TWS
TWS
TWS
TWS
TWS
Page 5 of 7
None
Notes:
Details:
From(Destination):
Class:
15/02/2015
v-03
354-2410
INR 310.00
manendragarh
ac
To(Returning from):
surajpur
Airline:
None
Notes:
Details:
From(Destination):
Class:
15/02/2015
bus stand
g
To(Returning from):
station
Airline:
None
Notes:
Details:
From(Destination):
Class:
15/02/2015
v-04
354-2412
INR 1,372.47
surajpur
ac
To(Returning from):
bilaspur
Airline:
None
Notes:
Details:
From(Destination):
Class:
16/02/2015
station
g
To(Returning from):
None
Notes:
Details:
From(Destination):
Class:
16/02/2015
lodge
g
To(Returning from):
[ Version 0 (Draft) ]
AMBIKAPURBIJURIADANIBSP
Airline:
40.00
1.000
1,372.47
1.000
50.00
1.000
330.00
Train
auto
INR 330.00
1.000
auto
INR 50.00
Airline:
310.00
Bus
INR 40.00
lodge
1.000
auto traveller
Expense Report:
Employee Name:
Sambeet Nayak
Employee ID:
TWS006
02/03/2015
CASH EXPENSES:
TWS
TWS
TWS
TWS
TWS
None
Notes:
Details:
From(Destination):
Class:
18/02/2015
Travelling Expenses TWD
for 02 no. days auto fare claimed to site i.e. 17.2.15 & 18.2.15.
lodge
g
To(Returning from):
None
Notes:
Details:
From(Destination):
Class:
19/02/2015
lodge
g
To(Returning from):
None
Notes:
Details:
From(Destination):
Class:
20/02/2015
Travelling Expenses TWD
for surge protection device installation.
None
Notes:
Details:
From(Destination):
Class:
21/02/2015
Travelling Expenses TWD
for surge protection device installation.
None
Notes:
22/02/2015
Boarding -TWD-City -Other
01. for 14 days boarding fare claimed i.e from 9.2.15 to
02. 22.2.15.
Details:
Town/City:
Page 6 of 7
lodge
g
lodge
g
To(Returning from):
To(Returning from):
INR 460.00
Airline:
Airline:
Airline:
Airline:
INR 2,800.00
310.00
1.000
330.00
1.000
310.00
1.000
2,800.00
auto traveller
INR 310.00
1.000
auto bus
INR 330.00
460.00
auto traveller
INR 310.00
1.000
auto bus
01
[ Version 0 (Draft) ]
AMBIKAPURBIJURIADANIBSP
Expense Report:
Employee Name:
Sambeet Nayak
Employee ID:
TWS006
02/03/2015
CASH EXPENSES:
TWS
TWS
TWS
Total No of expenses:
Page 7 of 7
None
Notes:
Details:
From date:
22/02/2015
Lodging-TWD-City - Other
354-2424
v-09, for 07 days hotel bill claimed along with s.tax. i.e. from 16.2.15 to 22.2.15.
INR 5,140.00
16/02/2015
To date:
Location:
None
Notes:
Details:
From(Destination):
Class:
22/02/2015
lodge
g
To(Returning from):
station
Airline:
None
Notes:
Details:
From(Destination):
Class:
22/02/2015
v-05
354-2420
INR 1,597.47
bilaspur
ac
To(Returning from):
bbsr
Airline:
22/02/2015
1.000
5,140.00
1.000
60.00
1.000
1,597.47
sub-total
NON-BILLABLE TOTAL:
20,154.94
20,154.94
bilaspur
INR 60.00
28
[ Version 0 (Draft) ]
AMBIKAPURBIJURIADANIBSP
auto
Train